In the absence of maternal or fetal indications for cesarean, a vaginal delivery is safe and appropriate and should be recommended.
Please discuss any requests for primary cesarean without usual indication with an OB Dept member.
Timing
Planned term cesarean delivery should be scheduled for > 39w0d of gestation
Conditions requiring cesarean delivery < 39w0d - usually do not require amniocentesis. The goal is to deliver prior to onset of labor:
- For prior classical, T, or J incision ( with involvement of upper uterine segment)
planned delivery: 36w0d - 37w6d
- For prior myomectomy
planned delivery: 37w0d - 38w6d
- For prior uterine rupture
planned delivery: 36w0d - 37w6d
- For suspected placenta accreta
planned delivery: 34w0d (hopefully at Alta Bate - not at CCCRMC)
-For placenta previa:
planned delivery 36w0d -37w6d
Details Call L/D to schedule date and time L/D phone (925) 370 – 5608 and ask to schedule cesarean
Ask the scheduling nurse for appt for pre-op teaching in the antepartum testing prior to the cesarean---this can also be scheduled directly with antepartum testing in Martinez
Make sure 30 days sterilization PM330 form is correctly and appropriately filled-out and signed and dated by the patient and the provider
Patient should be NPO after midnight the night before scheduled C/S
Instruction sheet for cesarean available on star icon forms under OBGYN instructions
This page has been edited 1 times. The last modification was made by -
Scheduled Cesarean Births
Please refer to the following guideline when trying to determine patient due date:
Use ultrasound over sure LMP if difference is:
Indication for C/S:
Medical/Obstetrical indications
- prior uterine scar: C/S, myomectomy, hx uterine rupture,
- placental problem: previa, accreta,
- malpresentation: breech, transverse, twin A breech
- HIV+ with Viral load > 1000 copies/mL
In the absence of maternal or fetal indications for cesarean, a vaginal delivery is safe and appropriate and should be recommended.
Please discuss any requests for primary cesarean without usual indication with an OB Dept member.
Timing
Planned term cesarean delivery should be scheduled for > 39w0d of gestation
Conditions requiring cesarean delivery < 39w0d - usually do not require amniocentesis. The goal is to deliver prior to onset of labor:
- For prior classical, T, or J incision ( with involvement of upper uterine segment)
planned delivery: 36w0d - 37w6d
- For prior myomectomy
planned delivery: 37w0d - 38w6d
- For prior uterine rupture
planned delivery: 36w0d - 37w6d
- For suspected placenta accreta
planned delivery: 34w0d (hopefully at Alta Bate - not at CCCRMC)
-For placenta previa:
planned delivery 36w0d -37w6d
Details
Call L/D to schedule date and time L/D phone (925) 370 – 5608 and ask to schedule cesarean
Ask the scheduling nurse for appt for pre-op teaching in the antepartum testing prior to the cesarean---this can also be scheduled directly with antepartum testing in Martinez
Make sure 30 days sterilization PM330 form is correctly and appropriately filled-out and signed and dated by the patient and the provider
Patient should be NPO after midnight the night before scheduled C/S
Instruction sheet for cesarean available on star icon forms under OBGYN instructions